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1740814797
EARL DALE FAIN
HEMET, CA
NPI
1740814797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RA9110918)
Enumeration Date
2020-02-28
Last Update Date
2020-02-28
Business Address
EARL DALE FAIN
39990 FAURE RD
HEMET, CA 92544-9408
Phone number: 951-708-4019
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Mailing Address
EARL DALE FAIN
39990 FAURE RD
HEMET, CA 92544-9408
Phone number: 951-708-4019
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